Izawa Shuhei, Nakamura-Taira Nanako, Yamada Kosuke Chris
Health Administration and Psychosocial Factor Research Group, National Institute of Occupational Safety and Health, 6-21-1 Nagao, Tama-ku, Kawasaki, Kanagawa, 214-8585, Japan.
Center for Research on Human Development and Clinical Psychology, Hyogo University of Teacher Education, Hyogo, Japan.
Int J Behav Med. 2016 Dec;23(6):664-669. doi: 10.1007/s12529-016-9557-8.
Being appropriately aware of the extent of stress experienced in daily life is essential in motivating stress management behaviours. Excessive stress underestimation obstructs this process, which is expected to exert adverse effects on health. We prospectively examined associations between stress underestimation and mental health outcomes in Japanese workers.
Web-based surveys were conducted twice with an interval of 1 year on 2359 Japanese male workers. Participants were asked to complete survey items concerning stress underestimation, depressive symptoms, sickness absence, and antidepressant use.
Multiple logistic regression analysis revealed that high baseline levels of 'overgeneralization of stress' and 'insensitivity to stress' were significantly associated with new-onset depressive symptoms (OR = 2.66 [95 % CI, 1.54-4.59], p < .01) and antidepressant use (OR = 4.91 [95 % CI, 1.22-19.74], p < .05), respectively, during the 1-year follow-up period.
This study clearly demonstrated that stress underestimation, including stress insensitivity and the overgeneralization of stress, could exert adverse effects on mental health.
恰当地认识到日常生活中所经历的压力程度对于激发压力管理行为至关重要。过度低估压力会阻碍这一过程，预计会对健康产生不利影响。我们前瞻性地研究了日本员工中压力低估与心理健康结果之间的关联。
对2359名日本男性员工进行了为期1年的两次网络调查。参与者被要求完成有关压力低估、抑郁症状、病假和抗抑郁药使用的调查项目。
多项逻辑回归分析显示，在1年的随访期内，“压力过度泛化”和“对压力不敏感”的高基线水平分别与新发抑郁症状（OR = 2.66 [95% CI，1.54 - 4.59]，p <.01）和抗抑郁药使用（OR = 4.91 [95% CI，1.22 - 19.74]，p <.05）显著相关。
本研究清楚地表明，包括对压力不敏感和压力过度泛化在内的压力低估可能会对心理健康产生不利影响。
